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183332 03/16/2010 CITY OF CARMEL, INDIANA VENDOR 051125 Page 1 of 1 ONE CIVIC SQUARE ICE MOUNTAIN SPRING WATER CARMEL, INDIANA 46032 PROCESSING CENTER CHI=CK AMOUNT: $178.37 PO BOX 856680 CHECK NUMBER: 183332 LOUISVILLE KY 40285 -6680 CHECK DATE: 3/16/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4238900 00B011786108 X46.09 OTHER MAINT SUPPLIES 2200 4239099 00BO12004852 17.45 OTHER MISCELLANOUS 1125 4350900 00BO12009535 19.98 OTHER CONT SERVICES 1091 4350900 00BO12120276 }9.89 OTHER CONT SERVICES 1205 4239099 00BO12177619 118.18 OTHER MISCELLANOUS 920 4239099 00DO12220610 30.62 OTHER MISCELLANOUS 1701 4239099 0OB722032704 .,-16.16 OTHER MISCELLANOUS service. icemountain.com #215 6661 DIXIE HWY, SUITE 4 t p `LOUISVILLE KY 40258 2/01/10 2/28/10 00BO121202766 ADDRESS SERVICE REQUESTED IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII MOD- MAR 0121202766 W 14 ED- APR 14 THU- MAY 13 #BWNNWYR MON- JUN 14 #0400001212027662# CITY OF CARMEL PARKS DEPARTMEN w� MANDY SPADY t Customer Service: 1 800 472 9888 1411 E 116TH ST Did you forget about us? Kindly pay upon receipt. CARMEL IN 46032 -3455 Remember, past due accounts are subject to a late fee. Your prompt payment is appreciated. For your convenience, pay online: icemountainwater.com/service. If payment has been made, we thank you. ONE for $4 99 and GET ONE FREEI For "a limited time -on Nescafe' Taster's Choice instant coffee sticks: Mix and match 9 reattastin 9 flavors: Orl 9 lnal, °_10%o Co 0 lombian, Hazelnut; Vanilla or Decaf —Go online, call Customer Service o r ask .your Routesales: Person to order. ACCOUNT ACTIVITY Pay your bill online at: service. icemountain.com or by phone at: 1-800-472-9888. It's free! za RogmamspWaiMR] 210 mob- LVALGIUIRIM Delivery address: CITY OF CARMEL PARKS DEPT /MONO, 1235 CENTRAL PARK DR EAST, CARMEL IN 46032 PREVIOUS BALANCE 49.88 2/12 0659567424 6 5 GAL ICE MOUNTAIN DRK W /HANDLE 23.94 3 9 OZ PLASTIC UP 50C /SLEEVE 8.97 1 .5 L NATURAL SPRING WATER ICE MTN 5.99 BOTTLE DEPOSIT: 6 CHARGED, 7 CREDITED -�7� -6.00 2/28 0663329910 1 OIL /FUEL SURCHARGE AFE 2.00 B8863721 RENT Purchase DRI MN O I 4.99 Description CC�C�1 LC C I� TOTAL P.O P or F 89.77 G.L. 0 1091- U 35090 Budget e -hf r 5VC y Line escr Purchaser Date Approval Date ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT /ADJUSTMENT CL' NT TIVITY PAY THIS AMOUNT $7�ubiect to terms on reverse side. 49.88 .00 39.89 89.77 BILLING RIGHTS SUMMARY YOUR INVOICE 4 WAYS TO HELP US SERVE YOU BETTER.. IN CASE_ OF ERRORS OR QUESTIONS A13OUT YOUR BILL. OR FOR I Please remember payment is due by the "pay by" date noted to ensure the smoothest service. A REPORT ON WATER QUALITY AND INFORMATION, PLEASE 2. Remember, if you are renting equipment, your equipment rental is Charged one month in advance. That means CAL- 1-800 OR WRITE us xr: your first invoice will include a pro -rated fee for the current month, plus the next month's rental. ICE MOUNTAIN SPRING WATER CO. 3. Kindly fill in the amount enclosed, include your account number on your check, and do not send cash. 4216 If you prefer, you can pay your bill online at service.icemountain.com. 6661 DIXIE lfWY., SUITE 4 LOUISVILLE, KY 40258 4. Never hesitate to call us with comments, questions, or concerns. If you think your bill is wrong, or if you need more information about a transaction on your bill, write its on a separate silver of paper. We must hear from you in writing no later than thirty (30) days after we sent you the first hill on which the error or problem appeared. You can SAMPLE INVOICE telephone us, but doing so will not preserve your rights. In your letter, give us the following information: Your name, address, telephone and account numbers. Date range of this invoice The dollar amount of the suspected error. Describe the error and explain if you can, why you believe there is an error. You are obligated to pay the pans of your bill that are not in question. 1234567890 Your Account Number You do not have to pay the disputed amount while it is being 00100100 00100100 investigated. During the investigation, we cannot report your account as delinquent or take any action to collect the amount in question. TNR XT 0a 1 56789 MoN.aT 99 Watch here for a GENERAL INFORMATION WED. Mc 31 TDE DEC IS personalized account I. Payments received after the billing (INVOICE) date will appear on Important invoiceinvoices n. n.., nl.. m „aul,l „d111,lAta,,,,aa1 „a „n,hm c'st "m 9,_1 n message your next invoice. Past due invoices (not paid within 30 days of news and TM1a nEy 9 u °oAn billing (late) may be assessed a late fee as allowed by law not to offers hiiN s, ."e exceed S20 per month. Additionally, third party collection /attorney o" I s'- o0OD0 I.. .1111...I,.III,..••11.,.•IL „11 „1,11 „I,I,I,I,I., I,d expenses may be assessed at a rate not to exceed 100% of the unpaid balance or the maximum allowed by law a r ^�0has ar 1 OS w;,,uaaa Pay electronically Each returned check Is sub_lect to a service charge subject to the �u I T ae�mAd`-,T O d lam nY.ww+ ^9car� I is 1 a .,waa "mowww 9vl maximum check return charge allowable in your State. Make sure this 3. All bottle and equipment deposits are shown as CURRENT Activity' amount has been ACTIVITY. since your ACCOUNT ACTIVITY a 5 C ry.61a1r "000 paid In full to 4. Equipment replacement costs will be charged for bottles lost. last invoice °er yAa mel+ b M1 ppe,lz3MR 'j99 stolen, damaged or not returned. 1e IaMe avoid late fees DaY1^e ^1 ThanRY^u s0.00 5. In accordance with NWNA's Terms and Conditions "T&C'), your oval Efi1R99 s s0au Na1 „lal sp ^qw .z0oo 9111 31)6R514aaA Ire M9untain5Cal DepMit 29fi Equipment Lease and /or Service Agreement account may be ,n nnesn+<+• s Iee ^,,;^s0alaemm 11.99 Monthly Oil 09111 Eve15"r1M subject to minimum monthly purchases and/or early cancellation 'o.I1- o9nx ne:63anu Surcharge, Fuel fees. (A complete version of the current T&C may be viewed on the ^z U-17 situ Surcharge or Delivery website listed below) Upon service discontinuation, rent for the TD,A+ Fee (see #6 under Leased Equipment is charged through the end of the billing cycle "General in which service is discontinued. 6. You will be charged a monthly Oil Surcharge, Fuel Surcharge or Information') Delivery Fee as described in our TSC. Only one of these fees Payme stub ACCOUNT SUMMARY to euW -9*_ y y ppy THIS AMOUNT will apple to each account. "The fee that applies to your account „�,,,a, p+^ waaloo ACCOUNT NUMBER 57.40 Is stated oil the front ofthe invoice. For further information please 1 .,c -U 9I BBUNO DAT visit the website listed below or contact our customer service E MT. ENCLOSED INVOICE NUh'o 00100100 1z3s6rR center. P 1 0'2009630] Ou2A2]12619 0003910'9 200' 1E 7. As a food p bottled water is subject to the rules and Amount due regulations promulgated by the Federal Food and Drug 0 Administration Administration (FDA). IcE MO �NrA1N wAiEMANV 1t Ysca�es +00000 n." Submit your R. Your first invoice indicates the products delivered on your first s, nvrcr �A"'� delivery, along with any applicable bottle and account deposits, ton c usTOMEn p ayment by this 1.,, dud. n,.l.u,d,,,h1,61..1.,n 17 ^.�I,.,,9.,0 „n..r,.sa• redemption fees. and any dispenser charges. All future invoices date sy ^u o will reflect charges for water delivered and dispenser rental, bottle deposits and credits plus charges fbr any additional products ordered by you. Deliveries are made every three or four weeks, for a total of I6 -17 deliveries per year. You will only receive invoices 12 times per year, so approximately 5 of those invoices will reflect two deliveries. 2008 Ice Mountain Spring Water Company, a Division of Nestle Waters North America Inc. Form No. Nw sos service. icemountain.com service. icemountain.com #215 6661 DIXIE HWY, SUITE 4 ®g e p LOUISVILLE KY 40258 2/01/10 2/28/10 00BO120095351 ADDRESS SERVICE REQUESTED IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII T- MAR 30 0120095351 THUHU- APR 29 FRI- MAY 28 #BWNNWYR TUE- JUN 29 #0400001200953515# CARMEL CLAY PARKS AND REC DEPT AUDREY KOSTRZEWA Customer Service: 1- 800 472 -9888 1411 E 116TH ST Did you forget about us? Kindly pay upon receipt. CARMEL IN 46032 -3455 Remember, past due accounts are subject to a late 1 1 1 I I I I I I I I I I fee. Your prompt payment is appreciated. For your convenience, pay online: icemountainwater.com/service. If payment has been made, we thank you. BUY-ONE for $4.99 and GET ONE FREE! For a limited time on Nescafe' Taster's Choice instant coffee sticks. Mix and match great tasting flavors: Original'100 %o.Colombian, Hazelnut, Vanilla or.Decaf. Go online, call Customer Service or ask your Routesales Person to order, ACCOUNT ACTIVITY Pay your bill online at: service.icemountain.com or by phone at: 1-800-472-9888. Its free! Delivery address: P CARMEL CLAY PARKS AND REC DE, 1427 E 116TH ST, CARMEL IN 46032 PREVIOUS BALANCE 34.12 2/28 88793896 RENT 9.98 TOTAL 44.10 PUrc hassr f Descriptlon g L(n P.O.# PorF G.L. 0 1 lam 4 Bud� C Line estx Purc haser Date_ Approval Date ACCOUNT SUMMARY PREVIOUS BALANCE r PAYMENT /ADJUSTMENT+ C RENT AC IVITY PAY THIS AMOUNT r$�biect to terms on reverse side. 34.12 .00 V 9.98 44.10 ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No, 051125 Ice Mountain Terms P.O. Box 856680 Louisville, KY 40285 -6680 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 314110 00BO120095351 Water cooler lease 9.98 314110 00BO121202766 Water cooler lease 39.89 USE ACCT #:4350900 Other Contr,Se'rulces Total 49.87 1 hereby certify that the attached in or bill(s) is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6 20_ Clerk- Treasurer Voucher No, Warrant No. i 051125 Ice Mountain Allowed 20 P.O. Box 856680 Louisville, KY 40285 -6680 In Sum of 49.87 ON ACCOUNT OF APPROPRIATION FOR 101 General 109 Monon Center PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1125 00$0120095351 4350900 9,98 1 hereby certify that the attached invoice(s), or 1091 0013012120278% 4350900 39,89 bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except 11 -Mar 2010 jwmM 'ZIJ Signature 49.87 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund servic e. i c ern o un tai n. co m o #215 6661 DIXIE HWY, SUITE 4 0 LOUISVILLE KY 40258 2101/10 2128/10 00BO122206105 ADDRESS SERVICE REQUESTED III IIII iI III III I II IIII I II IIII III III II I II Il11 im— THU- MAR 0122206105 19 MON- APR 19 TUE- MAY 18 #BWNNWYR THU- JUN 17 #0400001222061057# CITY OF CARMEL ENGINEERING /1ST KAREN NOLAN Customer Service: 1 800 472 9888 1 CIVIC SQ Thank you for choosing Ice Mountain Home Office CARMEL IN 46032 -2584 Delivery! We value your business. �lllll�llll�llllllll��llllll�l��ll�lll��lll��llll��rlll��lnl�ll SUY ©NE for$4 99 and GET ONE 1=REEtora llmltetl time on =Nescat+�Taster sChoce ms #ant troffee sticks �,MIx Vanilla or Decaf�Go online; call Custarner `antl match /y real #astln flavors ;Orl /o Colomisran, Hazelnut, y sa g m ae :.7'y'y` "a y'°'"" C .Service or ask your P30u#esaMeS Per #o order s mss. ?s a k'. a td:'7 a a S a �ft h a^ �m. ACCOUNT ACTIVITY Pay your bill online at: service.icemountain.com or by phone at, 1-800-472-9888. Its free! e MR. i 111 M Delivery address: CITY OF CARMEL ENGINEERING, 1301ST AVENUE SOUTHWEST, CARMEL 1N 46032 PREVIOUS BALANCE 20.57 2107 452165 PAYMENT -THANK YOU -18.62 2/18 0660461070 1 9 OZ PLASTIC UP 5OC /SLEEVE 2.99` 1 .5 L NATURAL SPRING WATER ICE MTN 5 "99 3 5 GAL ICE MOUNTAIN DRK W /HANDLE 10.47 2 NESCAFE TASTERS CHOICE ORIGINAL 4.98 1 NESCAFE PROMOTION .00 BOTTLE DEPOSIT: 3 CHARGED, 3 CREDITED 00 2/28 0663221596 1 OIL /FUEL SURCHARGE 2.20 88770035 RENT 3.99 TOTAL 32.57 /nbG.D TI:,'JJUSTti1Ef.1•T CU>; RENT ACTIViTi PAY THiS AM OUNT 44 AC��JI_i1VI Ji.JIVI1�HhCY '."v biect to terms on reverse side. 20.57 18.62 30.62 32.57 service.1cemauntaln.com 9215 6661 DIXIE HWY, SUITE 4 U e I e M F- LOUISVILLE KY 40258 2/01110 2128110 00BO122206105 ADDRESS SERVICE REQUESTED 2 THU- MAR 18 0122206105 MON- APR 19 TUE- MAY 18 #BWNNWYR THU- JUN 17 #0400001222061057# CITY OF CARMEL ENGINEERING11ST KAREN NOLAN Cus tomer Service: 1- 800 -472 -9888 1 CIVIC SQ Thank you for choosing Ice Mountain Home Office CARMEL IN 46032 -2584 DeiiveryJ We value your business. ruIIIrIIIIIIIIIIIIIrrIIIIIIrIrrllrllll�Illrrllllrrrnl�rlullll BUY ONE 0r34..99 and GET G1htE FREE! FeTr a Ilml ed tam ort Nescafe Taster s Chotce tnstat t oft a st!cks �Mtx sand match�great4tasi4r► ��tl�vars,( 3riglnatf�iq� /d;��olvmt3iali;��Hazelnut;" l�anllla ar [3�ca>!':� call�`Gustamer C 1 4 1 1,§ E 's �'4d ::.a ACCOU N7 ACTIVITY Pay your hill online at: service.icemountain or by phone at: 1-800-472-9888. it's free! ,a Delivery address: CITY OF CARMEL ENGINEERING, 1301ST AVENUE SOUTHWEST, CARMEL 1N 46032 r PREVIOUS BALANCE 20.57 2/07 452165 PAYMENT -THANK YOU -18.62 r; 4' 2118 0660461070 1 9 07 PLASTIC UP 5OC /SLEEVE 2.99 1 .5 L NATURAL SPRING „WATER .ICE.ATN 5.99 3 5 GAL.ICE MOUNTAIN DRK'W /1iANDLE 10.47 2 NESCAFE TASTENS CHOICE ORIGINAL 4.96 1 NESCAFE PHOMOT1ON .DO BOTTLE DEPOSIT: 3 CHARGED, 3 CREDITED .00 2/28 0663221596 1 OILIFUEL SURCHARGE 2.20 B8770035 RENT 3.99 TOTAL 32.57 ACCO SUMMARY PREVIOUS BALANCE PAYMENT /ADJUSTMENT+ CURRENT ACTIVITY PAY THIS AMOUNT OS� ubject to terms on reverse side. 20:57 18.62 30.62. 32.57 Detach this stub and return with yourpaynlent ACCOUNT NUMBER PAY BY PAY THIS AMOUNT P.O. BOX 856680 0122206105 3122110 _3 300P Louisville, KY 40265 -6680 INVOICE NUMBER BILLING DATE AMT. ENCLOSED DOB0122206105 03/04/10 3 f7 407201222061056 0203062 00032572 5 ICE MOUNTAIN CITY OF CARMEL ENGINEER!NGOST a Division of Nestle Waters North America Inc. KAREN NOLAN P.O. BOX 856680 1 civic SQ Louisville, KY 40285 -6680 CARMEL IN 46032 -2584 Ilr�lrllrlllr{ Ilrrrllllll�I�IIIIIIrlllllrllllll�rn�l�llnrllrrll FOR CUSTOMER SERVICE CALL 1 -800- 472 -9888 SIGN UP FOR FREE AUTOPAYJ Sign Up Required On Reverse Side. F Print Any Changes On Reverse Side, LIESP) 30:T032:01259'1:001:1000;1CM'k1 R 040 90 N 1 D E 01 C EOM- ICE MOUNTAIN 2--- 720806 PAGE 1 OF 1 Prescribed by State Board of Accounts City Form No 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Ice Mo untain Direct Purchase Order No. NA P O Bo x 856680 Terms Louisvill KY 40258 -6680 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 03/04/10 00BO122206105 Keystone Reconstruction Project $30.90 Miscellaneous Project 07 -08 Tota $30.90 f 1 hereby certify that the attached invoice(s), or bills(s), is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6, 20 Clerk- Treasurer VOUCHER NO. WARRANT N0. Ice Mountain Direct ALLOWED 20 PO BOX 856680 IN THE SUM OF Louisville, KY 40258 -6680 ON ACCOUNT OF APPROPRIATION FOR Ice Mountain Direct PO# or INVOICE NO, ACCT #!TITLE AMOUNT Board Members DEPT.# NA 00BO122206105 4239099 sso.so NA I hereby certify that the attched invoice(s), or bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except 15 -Mar 20 10 Total $30. Signature Cost distribution ledger classification if Cit En claim paid motor vehicle highway fund Title service.icemountain.com c #215 6661 DIXIE HWY, SUITE 4 p LOUISVILLE KY 40258 2/01/10 2/28/10 0OB7220327048 ADDRESS SERVICE REQUESTED lip ageJUVIlgLej 'up &wy alt cacao 9 191114U N IVI THU- MAR 18 7220327048 IIII I'I �I� III III II lil ill �!I II (I'IIII MON- APR 19 TUE- MAY 18 #BVVNNVVYR THU- JUN 17 #0400072203270488# CITY OF CARMEL OFFICE OF THE C Customer Service: 1- 800 472 -9888 ANN DAVIS 1 CIVIC S N 46032 -2584 Did you forget about us? Kindly pay upon receipt. Remember, past due accounts are subject to a late rl rill I I I iri .I I �I I I I I II fee. Your prompt payment is appreciated. For your convenience, pay online: icemountainwater.com/service. If payment has been made, we thank you. ONE for $4 99 and GET ONE`FREEt F a Ited time Nescafe' Taster's Choice rnstant coffee sticks M z m Vanilla or Decaf. Go online, call Customer R and match great tasting flavors "Origlna1,100 Colombian, azelnut, 5 Service or ask�your Routesales�PerSon #o order„ ACCOUNT ACTIVITY Pay your bill online at: service. icemountain.com or by phone at: 1 -800- 472 -9888. Its free! 0 Delivery address: CITY OF CARMEL OFFICE OF CLERK, 1 CIVIC SO, CARMEL IN 46032 PREVIOUS BALANCE 16.16 2/18 0660461138 2 5 GAL ICE MOUNTAIN DRK W /HANDLE 6.98 2 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT .00 2 5 GALLON ICE MOUNTAIN DEPOSIT RETURN .00 1 9 OZ PLASTIC UP 5OC /SLEEVE 2.99 2/28 0663256154 1 OIL /FUEL SURCHARGE 2.20 88806680 RENT 3.99 TOTAL 32.32 A CCOUNT SUMMARY PREVIOUS BALANCE PAYMENT /ADJUSTMENT+ CUR ENT ACTIVITY PAY THIS AMOUNT �hiert to terms nn reverses side 16.1 .00 K 16.16 32.32 Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) Total I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6. 20 Clerk- Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 IN SUM OF ta u���2CC e q g026- ego IW�2 ON ACCOUNT OF APPROPRIATION FOR Utt-: 3qo --qq ott/�. we Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or n$ (o bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except 20 Signatu Title Cost distribution ledger classification if claim paid motor vehicle highway fund sere i ce. icemo u ntai n. co m Ri o #215 6661 DIXIE HWY, SUITE 4 0 i o LOUISVILLE KY 40266 2101/10 2128110 00BO120048525 ADDRESS SERVICE REQUESTED e II iip II II THU- MAR 18 0120048525 MON- APR 19 TUE- MAY 18 #BWNNWYR THU- JUN 17 #0400001200485252# CITY OF CARMEL DEPT OF ENGINEE LISA SCOTT OR JUDY STOHLER Customer Service: 1 800 -472 -9888 1 CIVIC SQ YOUR ACCOUNT IS PAST DUE and is subject to CARMEL IN 46032 -2584 additional late fees. Water delivery service may be interrupted. Please make your payment today. For your convenience, pay online: icemountainwater.conVservice. If payment has been made, we thank you. .7„¢�5'r;"�" -a�" ,7y. "ti�..,�.... i3UY ONE for $499ta d GETOIVE FREEt Far a llmltetl tlmeon NescafeTas sChoice tnstan# coffee sucks MIx:I f., c ..m asi arttl match great tasting flavors Or glnal 100 %ZOIOmblan, Hazelnut, Vanilla; )r�04caGo online; call Ctstomer Senrlce or askyourFoutesales Personto ortler� r dr+� iy.u. 'L"q"'�x "a a5� -dh "k,htitaw. ter$ w ACCOU ACTIVITY Pay your bill online at: service. ice 4 mountain.com or by phone at: 1- 800 472 -9888. It's free! a Delivery address: CITY OF CARMEL TOWN HALL ENGIN, 1 CIVIC SO, CARMEL IN 46032 PREVIOUS BALANCE 61.41 2/07 452164 PAYMENT -THANK YOU -17.45 2/18 0660460809 3 5 GAL ICE MOUNTAIN DRK W /HANDLE 10.47 3 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT .00 3 5 GALLON ICE MOUNTAIN DEPOSIT RETURN .00 n� aI_ G ;TC IIP. g EEVE 2.99 yy ACCOUNT SUMMARY rA l�ii IliHLJJCia M_EN a CURRE AC TIVITY PAY`Till AIVI[0U �3 biect to terms on reverse side. 61.41 17-45 32.45 76.41 sauangap o.r} 1vpaj Ipm samonui asoy} Jn S Xpma txoiddn os `iiW jod satun ZI saa m Clu ton IAiaooa .o [Itm nok naafi And sauoni1 P LI }0 le}ot n Hof 's�aanvno� ao aagt Canna opnw aie sauanga4 nob riq ponpto swnpoid [nuotpppe nue 101 s3' iji u snid s�Inaja nun cn—d— Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Ice Mountain Payee Purchase Order No. OX Terms Louisville, KY 40285 -6680 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 03/04/10 OOB Rent and Service, February 2010 $17.45 ccn Total I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6. 20 Clerk- Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 ice Mountain IN SUM OF P.O. Box 856680 Louisville, KY 40285 -6680 $17.45 ON ACCOUNT OF APPROPRIATION FOR Department of Engineering Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or n 2v 9 5 ZS bill(s) is (are) true and correct and that the n a UUB E G 4239099 materials or services Itemized thereon for Acc it 0120048525 which charge is made were ordered and received except 20 Signature Cost distribution ledger classification if Title claim paid motor vehicle highway fund service. icemo untai n.com o 0..15 60724 DIXIE HWY, SUITE 4 i e p LOUISVILLE KY 40258 2101!10 2/28/10 00BO117821082 ADDRESS SERVICE REQUESTED 1 FRI- MAR 12 0117821082 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII TUE- APR 13 WED- MAY 12 FRI- JUN 11 #BWNNWYR #0400001178210823# CITY OF CARMEL STREET DEPATMEN Customer Service: 1 472 -9888 3400 W 131ST ST Did you forget about us? Kindly pay upon receipt. WESTFIELD IN 460748267 Remember, past due accounts are subject to a late nil nrl r II .I r rl n Irll r rnl Illrl Ilr fee. Your prompt payment is appreciated. For your convenience, pay online: icemountainwater.com/service. If payment has been made, we thank you. TV BUY ONE for 99 and GET ONE FREE &6' a a F llmtted ttme on Nescafe�Taster s Choice +r sta t coffee sticks M+x L and nmatch great4a'sttngx lavors O,r 0% Colomblarl Hazeif�ut Vanilla or Decaf, „Go onitne, call Customer Service or ask yourQ Routesales -,erson'to ortlt?r VP six x s a x� i *?w"�' ia'{`� y ACCOUNT ACTIVITY Pay your bill online at: service.icemountain.com or by phone at: 1 -808- 472 -9888. It's free! Delivery address: CITY OF CARMEL STREET DEPARTME, 3400 W 131TH ST, WESTFIELD IN 46074 PREVIOUS BALANCE 46.24 2/07 452163 PAYMENT -THANK YOU -20.11 2/11 0659439798 2 9 OZ PLASTIC UP 5OC/SLEEVE 5.98 8 5 GAL ICE MOUNTAIN DRK W /HANDLE 27.92 8 5 GALLON ICE MOUNTAIN BOTTLE DEPOSIT 48.00 7 5 GALLON ICE MOUNTAIN DEPOSIT RETURN -42.00 2/28 0663292589 1 OILIFUEL SURCHARGE 2.20 68767952 RENT 3.99 TOTAL 72.22 Q ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT /ADJUSTMENT CURRENT ACTIVITY PAY THIS AMOUNT hiect to terms on rev�rsa sida 46 -24 20.11 46.09 7222 CHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER Mountain IN SUM OF CITY OF CARMEL Box 856680 An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by isvllle, KY 40285 -6680 whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. $46.09 Payee Purchase Order No. N ACCOUNT OF APPROPRIATION FOR Terms Carmel Street Department Date Due Invoice Invoice Description Amount Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members Date Number (or note attached invoice(s) or bill(s)) R 201 00BO117861082 42- 389.00 $46.09 1 hereby certify that the attached invoice(s), or 03/04/10 00BO117861082 $46.09 bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Th /rsday rch 11, 2010 v M1 I 1 1/ ggtre t Commissioner Sfree domrniss inn, ar Title Cost distribution ledger classification if I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance claim paid motor vehicle highway fund with IC 5- 11- 10 -1.6 20 Clerk- Treasurer service.icemountain.com #215 6661 DIXIE HWY, SUITE 4 p LOUISVILLE KY 40258 2/01/10 2/28/10 00BO121776199 ADDRESS SERVICE REQUESTED III IIII I IN III' I I IN II II III III III II I I VIII THU- MAR 18 0121776199 MON- APR 19 ZJ 5 TUE- MAY 18 #BWNNWYR THU- JUN 17 #0400001217761992# CITY OF CARMEL HUMAN RESOURCES SHELLY LINGELBAUGH Customer Service: 1- 800 472 -9888 1 CIVIC SO YOUR ACCOUNT IS PAST DUE and is subject to CARMEL IN 46032 -2584 additional late fees. Water delivery service may be interrupted. Please make your payment today. For your convenience, pay online: icemountainwater.com/service. If payment has been made, we thank you. BUY ONE for $4.99 and GET ONE FREE I For a limited time on Nescafe' Taster's, Choice Instant coffee sticks. Mix and match great tasting flavors: Original, 100% Colombian, Hazelnut, Vanilla or Decaf. -Go online, call Customer Service or ask your Routesales, °Persorrto order. =`.S -moo•• c�«�-- _ate= f�. ACCOUNT ACTIVITY Pay your bill online at: service.icemountain.com or by phone at: 1 -800- 472 -9888. It's free! Delivery address: CITY OF CARMEL HUMAN RESOURCES, 1 CIVIC SQUARE, CARMEL IN 46032 PREVIOUS BALANCE 33.95 2/18 0660460957 1 9 OZ PLASTIC UP 5OC /SLEEVE 2.99 BOTTLE DEPOSIT: 0 CHARGED, 1 CREDITED -6.00 2/27 0662739846 1 LATE FEE 15.00 2/28 0663403244 1 OIL /FUEL SURCHARGE 2.20 B8772461 RENT 3.99 TOTAL 52.13 oQ° MAR 15 2010 By ACCOUNT SUMMARY PREVIOUS BALANCE PAYMENT /ADJUSTMENT+ CURRENT ACTIVITY PAY THIS AMOUNT 0 ubiect to terms on reverse side. 33.95 .00 18.18 m 52.13 Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 02/28/10 00BO121776199 $18.18 1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6 20 Clerk- Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 ice Mountain IN SUM OF PO Box 856680 Louisville, KY 40258 $18.18 ON ACCOUNT OF APPROPRIATION FOR Carmel Administration PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members T 1205 100BO1217761991 42- 390.99 I $18.18 1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Friday, March 12, 2010 Director, Administration Title Cost distribution ledger classification if claim paid motor vehicle highway fund